Active NPI
Alison Bort, PH.D., J.D.
- Psychologist
- Oregon City, OR
National Provider Identifier
1043469679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2664
- Practice address
- 998 Library CT
Oregon City, OR 97045-4041 - Phone
- (503) 655-8401
- NPI assigned
- Sep 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | 2664 | OR | Primary |
Addresses
Primary practice location
998 Library CT
Oregon City, OR 97045-4041
Mailing address
2051 Kaen Rd
367
Oregon City, OR 97045-4035
Phone (503) 650-3110
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11634 | Other | CA | MEDI-CAL EPSDT |
| 7589 | Other | CA | MEDI-CAL EPSDT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Juris Doctor, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2664 | OR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clackamas County | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Oregon City, OR
- NPI 1841443587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491868800000",
"number": "1043469679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 KAEN RD",
"address_2": "367",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970454035",
"telephone_number": "503-650-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "998 LIBRARY CT",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970454041",
"telephone_number": "503-655-8401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORT",
"first_name": "ALISON",
"name_prefix": "Dr.",
"credential": "PH.D., J.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2017-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "2664",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL EPSDT",
"identifier": "11634",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL EPSDT",
"identifier": "7589",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.